Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $5,128.00 / $23,000.00	Facility		$1,296.00	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,352.66 / $14,638.06 / $29,789.77	Facility		$1,352.66	$14,638.06	$29,789.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,399.29 / $2,287.39 / $9,172.67	Facility		$1,399.29	$2,287.39	$9,172.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,463.76 / $1,896.27 / $2,037.28	Facility		$1,463.76	$1,896.27	$2,037.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,352.66 / $1,352.66 / $1,356.83	Facility		$1,352.66	$1,352.66	$1,356.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
United Facility/Professional Facility Modifier Low / Median / High Price $12,579.00 / $19,333.91 / $31,511.89	Facility		$12,579.00	$19,333.91	$31,511.89